| Elite Dental, Llc | |
|
7300 147th St W Suite 103 Apple Valley MN 55124-7541 | |
| (952) 432-1716 | |
| Not Available |
| Full Name | Elite Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7300 147th St W, Apple Valley, Minnesota |
| Authorized Official Name and Position | Mimi Hoang (MEMBER) |
| Authorized Official Contact | 9524321716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental, Llc 7300 147th St W Suite 103 Apple Valley MN 55124-7541 Ph: (952) 432-1716 | Elite Dental, Llc 7300 147th St W Suite 103 Apple Valley MN 55124-7541 Ph: (952) 432-1716 |
| NPI Number | 1457452112 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457452112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11923 (Minnesota) | Primary |
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